Organization
DR. KIM'S ADULT CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONG WHAN KIM MD (OWNER/PROVIDER)
(910) 876-7301
Entity
Organization
Contact information
Practice address
8100 TWISTED HICKORY RD, BLADENBORO, NC 28320-7010
(910) 876-7301
(910) 648-5650
Mailing address
8100 TWISTED HICKORY RD, BLADENBORO, NC 28320-7010
(910) 876-7301
(910) 648-5650
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
200101455
NC
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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